CNS VASCULITIS PRESENTING AS STATUS EPILEPTICUS
Journal Title: World Journal of Pharmaceutical and Medical Research - Year 2018, Vol 4, Issue 12
Abstract
Primary central nervous system vasculitis (PCNSV) is a rare inflammatory arteriopathy confined to the brain, spinal cord, and leptomeninges. Because of its nonspecific presentation and difficulties in making a positive diagnosis, empiric treatment is often instituted. Diagnostic criteria include newly acquired neurological deficits, unexplained by another central nervous system (CNS) or systemic process, in the presence of a highly suggestive angiogram and/or biopsy. There are few cases each year making further characterization and correct diagnosis difficult. The patient discussed here is a 65 year old male who was admitted as a case of status epilepticus in our casualty. Patient was found seizing on the roadside by some passers by and was brought to our hospital in unconscious state. MRI brain revealed large infarcts in the distribution of right MCA and ACA territory. CSF was cellular with lymphocytic pleocytosis and elevation in proteins with normal sugars. A diagnosis was primary CNS vasculitis was made and patient received IV Methylprednisolone for 5 days and improved significantly.
Authors and Affiliations
Dr. Mahpara Andrabi
Keywords
Related Articles
- EP ID EP666005
- DOI -
- Views 191
- Downloads 0
STUDY OF EPIDEMIOLOGICAL FACTORS ASSOCIATED WITH A NEUROCYSTICERCOSIS IN PATIENTS OF PIEDADE CITY, BRAZIL
Neurocysticercosis is a parasitic disease that affects the central nervous system. Its main clinical manifestation are seizures. The objective of this study was to investigate the prevalence of neurocysticercosis and its...
COMPARATIVE HYPOGLYCEMIC AND NEPHROPROTECTIVE EFFECT OF TINOSPORA CORDIFOLIA AND METFORMIN ON ALLOXAN INDUCED DIABETIC MICE
Diabetes mellitus, often simply referred to as diabetes, is a group of metabolic diseases in which a patient has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond...
FREQUENCY OF MICROORGANISMS INVOLVED IN UTI AMONG DIABETIC PATIENTS AT A TERTIARY CARE CENTER
Aim of study: The prevalence of asymptomatic and symptomatic UTI is very high among diabetic patients. This study was conducted to assess the frequency of microorganism involved in urinary tract infection among diabetic...
A CROSS-SECTIONAL STUDY REAGARDING SPECTRUM OF ACUTE VIRAL HEPATITIS AT OUR HOSPITAL
Objective: To determine the frequency, etiology and clinical profile of patient with acute viral hepatitis at tertiary care hospital. Patients and Methods: This is a cross sectional study conducted at Jinnah hospital Lah...
SIGNIFICANCE OF HAEMOGLOBIN CONCENTRATION AND TOTAL LEUCOCYTE COUNT IN ASSESSING SEVERITY OF SICKLE CELL ANAEMIA
Sickle cell anaemia is the most common hereditary blood disorder in Africans. Most of the time, patients are in a steady state free of pain or infection. The disease becomes more sever in these conditions and patients ar...